0001171843-22-003821.txt : 20220519 0001171843-22-003821.hdr.sgml : 20220519 20220519132517 ACCESSION NUMBER: 0001171843-22-003821 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220518 FILED AS OF DATE: 20220519 DATE AS OF CHANGE: 20220519 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Noone John E CENTRAL INDEX KEY: 0001557321 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 22942024 MAIL ADDRESS: STREET 1: 2407 PARK DRIVE CITY: HARRISBURG STATE: PA ZIP: 17110 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MID PENN BANCORP INC CENTRAL INDEX KEY: 0000879635 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 251666413 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2407 PARK DRIVE CITY: HARRISBURG STATE: PA ZIP: 17110 BUSINESS PHONE: 8666427736 MAIL ADDRESS: STREET 1: 2407 PARK DRIVE CITY: HARRISBURG STATE: PA ZIP: 17110 4 1 ownership.xml X0306 4 2022-05-18 0 0000879635 MID PENN BANCORP INC MPB 0001557321 Noone John E 2407 PARK DRIVE HARRISBURG PA 17110 1 0 0 0 Mid Penn Bancorp, Inc. Common Stock 2022-05-18 4 P 0 500 25.391 A 30100 I By John E. Noone Trust Mid Penn Bancorp, Inc. Common Stock 12335.114 D Mid Penn Bancorp, Inc. Common Stock 2500 I By John Noone SEP IRA Mid Penn Bancorp, Inc. Common Stock 200 I IRA Mid Penn Bancorp, Inc. Common Stock 1836 D Balance includes shares acquired through the Dividend Reinvestment Plan. Shares granted in the form of restricted stock, which vests 100% on the first anniversary of the date of grant. /s/ John E. Noone 2022-05-19